Brian Lindell

• Led an Agile development team to design and implement electronic solutions for prescription prior authorizations (ePAs), optimizing workflows for providers and pharmacies.
• Prioritized and delivered development work across teams using Jira and Aha!, managing a rolling 12-month product roadmap.
• Authored epics and user stories in Jira, conducting weekly backlog grooming sessions to clarify requirements and acceptance criteria.
• Facilitated user acceptance testing (UAT) to validate feature delivery against stakeholder expectations.
• Delivered major products, including:
• An Iframe-based solution for ePA processing integrated within EHR systems.
• Three self-service web portals for providers, pharmacies, and PBMs to manage ePA messages.
• An automated prior authorization processing solution leveraging FHIR standards.
• Compliance upgrades for internal ePA solutions to adhere to NCPDP standards.
• Migration of ePA applications to Google Cloud Platform (GCP), enhancing scalability and performance.

• Contributed to the Claims Migration and Health Care Exchange projects, facilitating requirements gathering with stakeholders, and third-party vendors.
• Developed comprehensive documentation, including use cases, data mapping, and business rules, ensuring seamless data migration and compliance with HIPAA.
• Conducted gap analysis and designed swim lane flows to visualize current and proposed claims processes.

Lead a group of business analysts to create, present, and manage TRICARE business and functional requirements. Served as a member of the system integration team responsible for data migration activities during the pre-transition and transition periods.

• Oversaw activities related to the design, build, and migration of claims, provider, medical management, enrollment, billing, customer service, and beneficiary data from Humana, HealthNet, and the TRICARE Management Activity (TMA) to UnitedHealth Military and Veterans Services (UMVS).
• Developed strategies to provide access to migrated data for operational and business processes.
• Responsible for post-deployment validation of all TRICARE-deployed functionality.
• Researched, presented Alternatives and Recommendations (A&R) documents for several key business and IT solutions.
• Created a full ramp-up, including the percentage of work completed, the percentage of work remaining, and the timelines required to complete the TRICARE project after the project was put on hold.

Conducted an IT gap analysis for the response to the $25 billion TRICARE Request for Proposal (RFP), and wrote business requirements for the required IT enhancements to support TRICARE. Performed BA functions during the TRICARE RFP award process.

• Served as a TRICARE SME to all functional areas impacted by TRICARE by reading and understanding the 4,000-page manuals issued by the TRICARE Management Activity (TMS), detailing the rules, policies, and procedures of the TRICARE contract.
• Assisted in the writing of TRICARE business and functional requirements.
• Created process flow documents used in the UMVS presentation to TMA during the bid proposal process.
• Served as a member of the TRICARE 'think tank' to brainstorm ideas and solutions to the limitations of legacy systems being used to support TRICARE.
• I wrote and presented 834 eligibility requirements for Hawaii migration to Evercare.
• Defined XML tags and rules for the Retiree Benefits Summary (RBS) insert template.
• Designed the end-to-end process for the RBS inserts.
• Created a consumer specification for the eligibility web service, which included mapping XML schemas (request and response), defining data fields, and documenting business rules.